NPI | 1982881652 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA ANDERSON President 256-539-7680 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
261QU0200X Clinic/Center, Urgent Care | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2008-01-24 |
Last Update Date | 2009-11-02 |